{"id":178,"date":"2016-11-11T10:53:56","date_gmt":"2016-11-11T10:53:56","guid":{"rendered":"http:\/\/profdrmuratarslan.com.tr\/ar\/?post_type=cpt_services&p=178"},"modified":"2026-08-05T22:07:50","modified_gmt":"2026-08-05T19:07:50","slug":"%d8%aa%d8%b4%d8%ae%d9%8a%d8%b5-%d9%88%d8%b9%d9%84%d8%a7%d8%ac-%d8%a7%d9%84%d8%b9%d9%82%d9%85","status":"publish","type":"cpt_services","link":"https:\/\/profdrmuratarslan.com.tr\/ar\/services\/%d8%aa%d8%b4%d8%ae%d9%8a%d8%b5-%d9%88%d8%b9%d9%84%d8%a7%d8%ac-%d8%a7%d9%84%d8%b9%d9%82%d9%85","title":{"rendered":"\u062a\u0634\u062e\u064a\u0635 \u0648\u0639\u0644\u0627\u062c \u0627\u0644\u0639\u0642\u0645"},"content":{"rendered":"

K\u0131s\u0131rl\u0131k (infertilite) sebepleri nelerdir?<\/strong> K\u0131s\u0131rl\u0131k te\u015fhisi nas\u0131l yap\u0131l\u0131r? K\u0131s\u0131rl\u0131k hangi tedaviler ile ortadan kalkar?<\/strong> \u0130stanbul \u062c\u0627\u0645\u0639\u0629 \u0628\u064a\u0631\u0648\u0646\u064a International Hastanesi T\u00fcp Bebek \u00dcnite Direkt\u00f6r\u00fc Prof. Dr. Murat Arslan<\/strong> infertilite k\u0131s\u0131rl\u0131k<\/strong> merak edilen sorular\u0131 cevapl\u0131yor.<\/p>\n

K\u0131s\u0131rl\u0131k (infertilite) nedir? Sebepleri nelerdir?<\/h2>\n
\"guncel-kisirlik-tedavileri\"
G\u00dcNCEL \u0130NFERT\u0130L\u0130TE KISIRLIK TEDAV\u0130LER\u0130<\/figcaption><\/figure>\n

\u0130nfertilite<\/strong><\/a>\u00a0yani\u00a0k\u0131s\u0131rl\u0131k\u00a0<\/a><\/em>1 y\u0131l boyunca korunmadan ve yeterli say\u0131da cinsel ili\u015fkide bulunulmas\u0131na kar\u015f\u0131n gebelik olu\u015fmamas\u0131d\u0131r. Evli \u00e7iftlerin %10-15″inde infertilite g\u00f6r\u00fcl\u00fcr.<\/p>\n

\u0130nfertilite<\/strong>yi\u00a0primer<\/strong>\u00a0ve\u00a0sekonder infertilite<\/strong>\u00a0diye ikiye ay\u0131rabiliriz. Hi\u00e7 \u00e7ocuk sahibi olmayanlara primer infertil, daha \u00f6nce \u00e7ocuk sahibi olabilmi\u015f fakat \u015fu an gebe kalamayanlara sekonder infertil denir.<\/p>\n

Fekundabilite:\u00a0Bir adet d\u00f6nemi yani menstruel siklus i\u00e7erisinde gebelik elde edebilme ihtimalidir ve bu da normal \u00e7iftlerde %20-25\u2019tir<\/p>\n

Fekundite:\u00a0Bir menstruel siklus i\u00e7erisinde canl\u0131 do\u011fum elde etme ihtimalidir.<\/p>\n

B\u00fct\u00fcn \u00e7iftler ele al\u0131nd\u0131\u011f\u0131nda hepsinin de ilk adet d\u00f6neminde gebe kalmas\u0131 imk\u00e2ns\u0131zd\u0131r. Gebelik olu\u015fabilmesi i\u00e7in belli bir s\u00fcre ge\u00e7mesi gerekir. Gebelik istemi olan \u00e7iftlerin 3 ay sonunda ancak %57″sinde gebelik olu\u015fur. 6 ay sonunda %72″sinde gebelik olu\u015fur. 1 y\u0131l sonunda %85″inde gebelik olu\u015fur. 2 y\u0131lsonunda %93″\u00fcnde gebelik olu\u015fur.<\/p>\n

\u0130nfertil \u00e7iftlerin yakla\u015f\u0131k % 30-40″\u0131nda erkek, % 40-50″sinde kad\u0131nda problem saptan\u0131r. Baz\u0131 \u00e7iftlerin her ikisinde birden sorun bulunur. % 10-15 \u00e7iftte ise ne kad\u0131nda ne de erkekte neden bulunamaz.<\/p>\n

Hi\u00e7bir neden bulunamayan duruma\u00a0a\u00e7\u0131klanamayan infertilite<\/strong>\u00a0denir. Bu y\u00fczden\u00a0infertil \u00e7iftler<\/strong>\u00a0mutlaka birlikte ara\u015ft\u0131r\u0131lmal\u0131d\u0131r, sadece kad\u0131n\u0131n ya da sadece erke\u011fin ara\u015ft\u0131r\u0131lmas\u0131 yeterli de\u011fildir. \u00c7iftlerden birisinde bir sorun bulunsa bile ayn\u0131 anda di\u011ferinde de sorun olabilir.<\/p>\n

Ya\u015f ilerledik\u00e7e \u00e7iftlerin gebe kalma \u015fans\u0131 azal\u0131r. Ya\u015f\u0131n ilerlemesi\u00a0yard\u0131mc\u0131 \u00fcreme teknikleri<\/strong>yle de ba\u015far\u0131 \u015fans\u0131n\u0131 azaltmaktad\u0131r.<\/p>\n

Kad\u0131nda infertilite nedenleri:<\/h3>\n
    \n
  • Ovulasyon (yumurtlama) bozukluklar\u0131 % 40<\/li>\n
  • T\u00fcplere ve kar\u0131ndaki yap\u0131\u015f\u0131kl\u0131klara ba\u011fl\u0131 nedenler % 40<\/li>\n
  • Endometriozis % 5-15,<\/li>\n
  • Nedeni izah edilemeyen (a\u00e7\u0131klanamayan) infertilite % 5-15<\/li>\n
  • Di\u011fer nedenler % 5
    \n<\/strong><\/li>\n<\/ul>\n

    Erkekte infertilite nedenleri:<\/strong><\/h3>\n
      \n
    • Nedeni a\u00e7\u0131klanamayan grup % 30<\/li>\n
    • Varikosel % 15<\/li>\n
    • Endokrin hipogonadism % 9<\/li>\n
    • Subklinik enfeksiyonlar % 8<\/li>\n
    • \u0130nmemi\u015f testis %8\u00a0Ereksiyon (sertle\u015fme) sorunu ve hipospadias % 6<\/li>\n
    • \u0130mmunolojik nedenler %<\/li>\n
    • Sistemik hastal\u0131klar % 3<\/li>\n
    • Obstruktif (t\u0131kan\u0131kl\u0131k) patolojiler % 2<\/li>\n
    • Di\u011fer nedenler % 13<\/li>\n<\/ul>\n

      \u0130nfertilite<\/strong>ye yol a\u00e7an nedenlere y\u00f6nelik ge\u00e7mi\u015fle ilgili sorgulama sonras\u0131nda, sadece \u00fcreme organlar\u0131n\u0131n de\u011fil t\u00fcm v\u00fccudun de\u011ferlendirilmesine y\u00f6nelik muayene yap\u0131l\u0131r. Hormonal testlerden ba\u015fka histerosalpingograf\u0131 (HSG), laparoskopi ve histereskopi gibi di\u011fer inceleme y\u00f6ntemleri kullan\u0131labilir.<\/p>\n

      Erkek de\u011ferlendirilmesi i\u00e7in \u00f6yk\u00fc ve muayene bulgular\u0131ndan ba\u015fka sperm testi (semen analizi) \u00e7ok \u00f6nemlidir. Sperm analizi 2-5 g\u00fcnl\u00fck cinsel perhiz sonras\u0131 yap\u0131l\u0131r. Sperm analizi anormal \u00e7\u0131karsa 1-2 ay sonra tekrarlanmal\u0131d\u0131r.<\/p>\n

      K\u0131s\u0131rl\u0131k ile alakal\u0131 olan d\u0130\u011fer fakt\u00f6rler nelerdir?<\/h3>\n
        \n
      • Sigara kullan\u0131m\u0131<\/li>\n
      • A\u015f\u0131r\u0131 kilolu olmak<\/li>\n
      • Rahim a\u011fz\u0131n\u0131n kapal\u0131 olmas\u0131<\/li>\n
      • D\u00fczenli cinsel ili\u015fkiye girilmemesi<\/li>\n
      • Vajinismus<\/li>\n
      • Rahimin i\u00e7erisinde yap\u0131\u015f\u0131kl\u0131k meydana gelmesi<\/li>\n
      • Luteal faz yetmezli\u011fi<\/li>\n
      • Kemoterapi ve radyoterapi tedavisi g\u00f6rmek<\/li>\n
      • Erken d\u00f6nemde menopoza girmek<\/li>\n<\/ul>\n

        \u00c7iftler Ne Kadar S\u00fcrede Gebelik Olu\u015fmazsa Doktora Ba\u015fvurmal\u0131d\u0131r?<\/h4>\n

        35 ya\u015f\u0131n alt\u0131ndaki \u00e7iftler 12 ay boyunca korunmas\u0131z d\u00fczenli ili\u015fkiyi denemelerine ra\u011fmen hala gebelik olu\u015fmam\u0131\u015fsa doktora ba\u015fvurmal\u0131lar. 35 ya\u015f\u0131n \u00fczerindeki \u00e7iftlerde bu s\u00fcre 6-8 ayd\u0131r.<\/p>\n

        A\u015fa\u011f\u0131daki durumlarda 1 y\u0131l beklenmeden inceleme ba\u015flat\u0131labilir:<\/strong><\/h2>\n

        Kad\u0131n;<\/strong><\/p>\n

          \n
        • Kad\u0131n ya\u015f\u0131 > 35 ise<\/li>\n
        • Amenore (adet g\u00f6rememe) veya d\u00fczensiz adetleri varsa<\/li>\n
        • Pelvik enfeksiyon veya endometriosis \u00f6yk\u00fcs\u00fc varsa<\/li>\n
        • Ge\u00e7irilmi\u015f abdominal veya pelvik cerrahi \u00f6yk\u00fcs\u00fc varsa<\/li>\n
        • Anormal muayene bulgular\u0131 varsa<\/li>\n<\/ul>\n

          Erkek;<\/strong><\/p>\n

            \n
          • Ge\u00e7irilmi\u015f \u00fcrogenital cerrahi \u00f6yk\u00fcs\u00fc varsa<\/li>\n
          • Ge\u00e7irilmi\u015f cinsel yolla bula\u015fan hastal\u0131k \u00f6yk\u00fcs\u00fc varsa<\/li>\n
          • Anormal muayene bulgular\u0131 varsa<\/li>\n<\/ul>\n

            \u0130nfertilite Nedir ? \u0130nfertilite Sebepleri Nelerdir?<\/h3>\n